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1215053392
CARL M MATTHEWS
LEWISTON, ID
NPI
1215053392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA41)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- CARL M MATTHEWS CRNA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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Mailing Address
-- CARL M MATTHEWS CRNA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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